Time for change in Podiatry/Combined DPM and MD program

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Would you be in favor of a combined DPM/MD degree


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DocHermes

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The current practice of podiatry is facing many hurdles, especially in states where podiatrist are not recognized as physicians. We have some of the worst application numbers to Podiatry schools ever seen. I have been a long believer in parity; the recent white paper which would have allowed podiatry students to sit for the USMLE was promptly shot down by the AMA. I have long believed the path forward would be to model OMFS and start hybrid programs, which would combine the DPM and MD degree together, this could even include decreasing a year off of podiatry school and increasing one year of residency (a 3+4 program which would help offset the increase two years that would be required for the MD degree) such as combined OMFS and MD programs do. This would put us on a level playing field with all other medical specialties and allow for a pathway forward, including board certification through the American College of surgeons like all other 14 surgical specialties (Instead of having two boards fighting each other -> dissolve ABPM and ABFAS and roll it into ACS). This would also require a name change to distinguish those with the new credentials such as “lower extremity surgeons” so their would be clear distinction from Podiatrists of different training. Previous Podiatrists can be grandfathered in. The goal would not necessarily be to change what Podiatrists do, but to eliminate state scope issues by allowing one to practice within their training, allow for use of physician extenders, allow for application to loan repayment programs only “physicians” qualify for (many states have programs that will reimburse some part of student loans for a time commitment, but Podiatrists don’t qualify), etc. Hoping to gain some traction with this thread.
 
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At this point in my career, the only way an MD degree would augment my practice of podiatry is:
  • harvest my own iliac crest graft/bmac
  • treat warts on peoples' hands
  • manage my own inpatient admissions which none of us want to do
  • moonlight in urgent care clinics (i.e. stop practicing podiatry)
And there it is. I think deep down, the only reason DPMs want to be rolled in with MDs is so they can stop practicing podiatry. If that's what you want to do, I'm not going to stop you from doing it, just don't expect the AMA to play along.

I have been a long believer in parody;
I hate to be the grammar police, but this malapropism is perfect for what you're asking for.
 
*parity (not parody)

Podiatry's issue is saturation and poor ROI, through and through.
Podiatry does nothing MD/DO can't... we simply do what they don't want (nail care, wounds, incfection surgery, etc).

OMFS has high demand (and therefore high pay) for a skill MD/DO surgeons don't have. They are an apples to oranges comparison.

Podiatry's best bet is better training and FAR fewer grads... but that won't happen, due to greed.
 
I agree in principle however only in principle. The reality is a lot of what holds podiatry down is PODIATRY. We can’t even standardize our residency programs which bleeds into we don’t even have one agreed upon surgical board.

Then we expect a notoriously pretentious organization like AMA to sit down and have meaningful discussion? Foolish.

Let’s look at it from THEIR perspective. Why would they want to be involved with a speciality that logistically right now is a nightmare which would give them additional headaches. Podiatry has a lot of work to do from within before we can honestly expect another medical organization to sit down and discuss a merger.
 
At this point in my career, the only way an MD degree would augment my practice of podiatry is:
  • harvest my own iliac crest graft/bmac

Depending on what state you're in, this should be an acceptable practice already. I know some, not.
 
Sounds like a good idea til someone asks you to read an EKG
True, but the AI (computer interpretation) is already so good. So you just have to know what to do with the result.

Also, IMO, it will be less than 5 years and AI will be fully reading XR, CT, MRI. But it will be knowing what to do with the information.
 
I have no business doing prostate exams. Head shoulders knees, just toes for me bros.

We have enough incompetent pods being grandfathered into surgery.
Yeah it’s funny how a lot of people pushing for md/do parity were also the same people who got grandfathered into ABFAS without a proper residency.

If you need to be “grandfathered” into something that only thing should be retirement
 
Depending on what state you're in, this should be an acceptable practice already. I know some, not.
Aren’t there still some states where podiatrists can’t amputate? I remember that being a thing on rotations back in the day
 
Work in a building shoulder to shoulder with IM/FM outpatient.

I have no business managing ESRD, hypertensive urgencies, chest pain, IUD insertions, critical labs, cancers on MRI.
They have no business managing foot wounds, doing minor procedures, clipping nails and doing ingrowns, doing amputations or soft tissue mass excisions or elective surgeries, sports med stuff.

Their license allows them to do quite a bit, especially with FM- but they don't want to, don't have the time to, or weren't trained enough to feel comfortable doing podiatry/foot and ankle specific stuff.

We talk all the time about how each of us would manage xyz given pathology and symptoms that pop up in our respective patients.
We curbside each other all the time and the stories are numerous. But we stick to what we're good at and trained in.

Even if I had the additional MD degree certificate/whatever, I still would not be managing their patients, and they would not be managing mine.

There's a mutual respect-but we both know what we like to do, what we're good at, and what keeps the lights on in the building.
 
OMFS has high demand (and therefore high pay) for a skill MD/DO surgeons don't have. They are an apples to oranges comparison.

To add, their DDS schooling/training doesn’t prepare them to perform the procedures that OMFS must be proficient in. So a DDS adding the MD and becoming a OMFS actually expands their scope/practice. Adding an MD to the DPM wouldn’t change what a podiatrist treats (as the OP even admits). Well, other than ortho and vascular letting us do BKAs and AKAs lol. Yay, more pus!
 
To add, their DDS schooling/training doesn’t prepare them to perform the procedures that OMFS must be proficient in. So a DDS adding the MD and becoming a OMFS actually expands their scope/practice. Adding an MD to the DPM wouldn’t change what a podiatrist treats (as the OP even admits). Well, other than ortho and vascular letting us do BKAs and AKAs lol. Yay, more pus!
I don’t know if bovie at 30/30 can manage the hemostasis for a bka and aka
 
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